Organization Active NPI

Stephen R. Hiller, MD, PC

  • Otolaryngology Physician
  • Port Jefferson Station, NY
National Provider Identifier
1659648483
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
112016 Issued in NY
Legal business name
STEPHEN R. HILLER, MD, PC
Practice address
5360 Nesconset Hwy
Ste. D
Port Jefferson Station, NY 11776-2018
Phone
(631) 928-7070
Fax
(631) 928-0093
NPI assigned
Nov 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen R. Hiller, MDNPI 1194762948
Title
Owner
Phone
(631) 928-7070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 112016 NY Primary

Addresses

Primary practice location

5360 Nesconset Hwy
Ste. D
Port Jefferson Station, NY 11776-2018

Mailing address

5360 Nesconset Hwy
Ste. D
Port Jefferson Station, NY 11776-2018
Phone (631) 928-7070

National Provider Directory

National Provider Directory

Locations

5360 Nesconset Hwy
Port Jefferson Station, NY 11776
Phone (631) 331-2121

5360 Nesconset Hwy
Ste D
Port Jefferson Station, NY 11776
Phone (631) 928-7070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1659648483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 NESCONSET HWY",
            "address_2": "STE. D",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762018",
            "telephone_number": "631-928-7070",
            "fax_number": "631-928-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 NESCONSET HWY",
            "address_2": "STE. D",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762018",
            "telephone_number": "631-928-7070",
            "fax_number": "631-928-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN R. HILLER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "HILLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-928-7070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "112016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.